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  1. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. | PSNet

    psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
    June 21, 2023 - Commentary Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Citation Text: Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. do…

  2. Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet

    psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases
    June 19, 2019 - Study Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. Citation Text: Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…

  3. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet

    psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
    November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…

  4. Addressing the taboo of medical error through IGBOs: I got burnt once! | PSNet

    psnet.ahrq.gov/issue/addressing-taboo-medical-error-through-igbos-i-got-burnt-once
    October 31, 2014 - Study Addressing the taboo of medical error through IGBOs: I got burnt once! Citation Text: Dumitrescu A, Ryan A. Addressing the taboo of medical error through IGBOs: I got burnt once!. Eur J Pediatr. 2014;173(4):503-8. doi:10.1007/s00431-013-2168-3. Copy Citation Format: D…

  5. Supporting patient safety: examining communication within delivery suite teams through contrasting approaches to research observation. | PSNet

    psnet.ahrq.gov/issue/supporting-patient-safety-examining-communication-within-delivery-suite-teams-through
    March 25, 2009 - Study Supporting patient safety: examining communication within delivery suite teams through contrasting approaches to research observation. Citation Text: Berridge E-J, Mackintosh NJ, Freeth DS. Supporting patient safety: Examining communication within delivery suite teams through con…

  6. Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. | PSNet

    psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband
    April 14, 2011 - Study Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. Citation Text: Sevdalis N, Norris B, Ranger C, et al. Closing the safety loop: evaluation of the National Patient Safety Agency's guidan…

  7. Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. | PSNet

    psnet.ahrq.gov/issue/mitigating-errors-caused-interruptions-during-medication-verification-and-administration
    September 24, 2016 - Study Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. Citation Text: Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification…

  8. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. | PSNet

    psnet.ahrq.gov/issue/defining-excellence-next-steps-practicing-clinicians-seeking-prevent-diagnostic-error
    March 14, 2022 - Commentary Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. Citation Text: Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…

  9. A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. | PSNet

    psnet.ahrq.gov/issue/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational
    December 20, 2017 - Study A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. Citation Text: Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study. J Patient …

  10. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. | PSNet

    psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
    November 21, 2018 - Study Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. Citation Text: Goldszmidt M, Aziz N, Lingard LA. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discuss…

  11. Impact of miscommunication in medical dispute cases in Japan. | PSNet

    psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan
    September 25, 2019 - Study Impact of miscommunication in medical dispute cases in Japan. Citation Text: Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028. Copy Citation Format: DOI G…

  12. Evidence summary and recommendations for improved communication during care transitions. | PSNet

    psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
    October 19, 2022 - Review Evidence summary and recommendations for improved communication during care transitions. Citation Text: Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…

  13. Defining and measuring patient safety. | PSNet

    psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
    June 16, 2011 - Review Classic Defining and measuring patient safety. Citation Text: Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii. Copy Citation Format: Google Scholar PubMed BibTeX …

  14. Informatics opportunities: the intersection of patient safety and clinical informatics. | PSNet

    psnet.ahrq.gov/issue/informatics-opportunities-intersection-patient-safety-and-clinical-informatics
    May 27, 2011 - Commentary Informatics opportunities: the intersection of patient safety and clinical informatics. Citation Text: Kilbridge PM, Classen D. The informatics opportunities at the intersection of patient safety and clinical informatics. J Am Med Inform Assoc. 2008;15(4):397-407. doi:10.119…

  15. Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. | PSNet

    psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
    March 19, 2019 - Study Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. Citation Text: Park C, Rochlen LR, Yaghmour E, et al. Acquisition of critical intraoperative event management skills in novice anest…

  16. Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system. | PSNet

    psnet.ahrq.gov/issue/testing-technology-acceptance-model-evaluating-healthcare-professionals-intention-use-adverse
    March 24, 2019 - Study Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system. Citation Text: Wu J-H, Shen W-S, Lin L-M, et al. Testing the technology acceptance model for evaluating healthcare professionals' intention to use …

  17. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. | PSNet

    psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
    March 16, 2022 - Review Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Citation Text: Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…

  18. Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. | PSNet

    psnet.ahrq.gov/issue/little-shop-errors-innovative-simulation-patient-safety-workshop-community-health-care
    October 14, 2009 - Commentary Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. Citation Text: Tupper JB, Pearson KB, Meinersmann KM, et al. Little shop of errors: an innovative simulation patient safety workshop for community health care pro…

  19. A piece of my mind. Writing the wrong. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
    January 24, 2024 - Commentary A piece of my mind. Writing the wrong. Citation Text: Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2. doi:10.1001/jama.2015.5281. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  20. Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. | PSNet

    psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
    December 20, 2023 - Study Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. Citation Text: Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…
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